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Overview of Hereditary Periodic Fever Syndromes

Hereditary periodic fever syndromes are hereditary disorders characterized by recurrent fever and other symptoms that are not explained by other causes.

Most patients develop symptoms during childhood; < 10% develop symptoms after age 18. Disorders best characterized are

  • Familial Mediterranean fever
  • Hyper-IgD syndrome
  • Tumor necrosis factor (TNF) receptor–associated periodic syndrome

Others include

  • The hereditary cryopyrinopathies: Familial cold autoinflammatory syndrome, Muckle-Wells syndrome, and neonatal-onset multisystem inflammatory disease (NOMID)
  • PAPA (pyogenic arthritis, pyoderma gangrenosum, and acne) syndrome
  • PFAPA (periodic fever, aphthous stomatitis, pharyngitis, and cervical adenitis) syndrome

Last full review/revision January 2009 by Stephen E. Goldfinger, MD

Content last modified January 2009

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